CHIP Pharmacy & Drugs
CHIP Pharmacy
FirstCare CHIP members can access prescriptions through any pharmacy that is contracted with the Navitus Health Solutions. Navitus administers prescription benefits for FirstCare CHIP Members.
Find Your Pharmacy
Find a list of in-network pharmacies by using the tool below.
Navitus Health Solutions, FirstCare's pharmacy benefits manager, has provided this tool to help you locate the closest and most convenient pharmacy for you. Click below to get started.
The
Pharmacy Directory is also available on our website.
Formulary
FirstCare uses the state mandated CHIP formulary. The formulary is available on the
Texas Medicaid Drug Vendor Drug Program website.
The Texas CHIP Formulary is available in paper form without charge. To request a copy, please call FirstCare CHIP Customer Service at
1-877-639-2447.
Prior Authorizations
To obtain a prior authorization, providers should call Navitus at 1-877-908-6023. To access drug specific prior authorization forms, please visit the
Navitus website.
Pharmacy Provider Manual
To obtain a copy of the Pharmacy Provider Manual, please visit the
Navitus website.
For pharmacy questions, contact Customer Service at 1-877-639-2447.
Pharmacy Maximum Allowable Cost (MAC) List
To obtain a copy of the MAC List, network pharmacies may visit the Navitus pharmacies website and go to the MAC Program link:
pharmacies.navitus.com
Member Forms
Prescription Mail Order Form
Prescription Mail Order Form (Spanish)
News
October 2021 NDC-to-HCPCS Crosswalk Now Available For additional information click here.
Updates to Medicaid Preferred Drug List Scheduled for November 15, 2021 For additional information click here.
Pharmacy Submittal of COVID-19 Vaccine Additional, Booster Doses For additional information click here.
Nucala Clinical Prior Authorization Update Scheduled for December 14, 2021 For additional information click here.
Repatha (evolocumab) Prior Authorization Update Scheduled for December 6, 2021 For additional information click here.
Hepatitis C Drug Rebate Program Procurement Information Now Available For additional information click here.
HHSC Updates Respiratory Syncytial Virus (RSV) Season Schedule For additional information
click here.
HHSC Issues Stromectol (Ivermectin) Guidance For additional information
click here.
Temporary Change in Texas Pharmacy Prior Authorization Call Center Phone Number For additional information
click here.
Alinia Clinical Prior Authorization Criteria Revision Effective November 23, 2021 For additional information
click here.
Updating Pharmacy Claim Systems for COVID-19 Vaccine Additional Doses For additional information
click here.
2021-22 RSV Assessment and Synagis Authorization For additional information
click here.
Changes to Hepatitis C Prior Authorization Criteria Begin September 1, 2021 For additional information
click here.
Duplicate Therapy Clinical Prior Authorization Criteria Revision Begins October 19, 2021 For additional information
click here.
Respiratory Syncytial Virus and Synagis Authorization During Summer and Winter 2021-2022 For additional information
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July 2021 Drug Utilization Review Board Meeting Summary For additional information
click here.
Atypical Respiratory Syncytial Virus (RSV) Season Advisory For additional information
click here.
April 2021 Preferred Drug List Decisions Now Available For additional information
click here.
July 2021 Preferred Drug List Now Available For additional information
click here.
Changes to Hepatitis C Prior Authorization Criteria Begin September 1, 2021 For additional information
click here.
Trikafta Age Expansion in Cystic Fibrosis Agents Clinical Prior Authorization Begins September 1, 2021 For additional information
click here.
Nucala Clinical Prior Authorization Criteria Update Begins July 12, 2021 For additional information
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Semi-annual Medicaid Preferred Drug List Update Coming July 29, 2021 For additional information
click here.
HHSC to Reopen RSV Season in Select Regions on June 21, 2021 For additional information
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Medicaid Allows Pfizer BioNTech COVID-19 Vaccine for Emergency Use in Adolescents For additional information
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HHSC to Resume Quarterly Specialty Drug List in July 2021 For additional information
click here.
COVID-19 Testing in Pharmacy Reimbursable Through Medicaid Medical Claims System For additional information
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Clinical Prior Authorization Assistance Chart Now Available For additional information
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April 2021 Preferred Drug List Recommendations Now Available For additional information
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COVID-19 Vaccine Administration Rate Change Effective April 1, 2021 For additional information
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January 2021 Preferred Drug List Decisions Now Available For additional information
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Enzymes Clinical Prior Authorization Criteria Revisions Effective June 30, 2021 For additional information
click here.
Frequently Asked Questions about the Medicaid Standing Order for Mosquito Repellent For additional information
click here.
Epidiolex Prior Authorization Revision Scheduled for May 11, 2021 For additional information
click here.
Medicaid Adds Johnson & Johnson COVID-19 Vaccine to Formulary For additional information
click here.
Revised Hepatitis C Drug Prior Authorization Form 1342 For additional information
click here.
January 2021 Preferred Drug List Revised March 5, 2021 For additional information
click here.
Revisions to Cytokine and CAM Antagonists Prior Authorization Criteria Set for May 4, 2021 For additional information
click here.
RSV Season Extended for Counties in Southeast Texas and Gulf Coast Areas For additional information
click here.
Monoclonal Antibody for Asthma Prior Authorization Updates Set for April 6, 2021 For additional information
click here.
Revised Hepatitis C Drug Prior Authorization Forms Now Available For additional information
click here.
Clinical Prior Authorization Updates for Cystic Fibrosis Agents For additional information
click here.
Preferred Drug List Criteria Exception for Macrolides Changes March 15 For additional information
click here.
Renewed Texas Standing Order for Mosquito Repellent Benefit Available For additional information
click here.
Clinical Prior Authorization Assistance Chart Now Available For additional information
click here.
January 2021 Preferred Drug List Now Available For additional information
click here.
Desmopressin Clinical Prior Authorization Revision Begins March 15, 2021 For additional information
click here.
COVID-19 Vaccine NDC Update For additional information
click here.
Dupixent Clinical Prior Authorization Criteria Revision Effective March 15, 2021 For additional information
click here.
Change to Thiazolidinediones Clinical Prior Authorization Begins February 4, 2021 For additional information
click here.
Medicaid Adds Moderna COVID-19 Vaccine to Formulary For additional information
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Medicaid Adds Pfizer BioNTech COVID-19 Vaccine to Formulary For additional information
click here.
July 2020 Preferred Drug List Revised Dec. 16 For additional information
click here.
Semi-annual Medicaid Preferred Drug List Update Coming Jan. 28, 2021 Preferred drugs are medications recommended by the Texas Drug Utilization Review Board. The Texas Preferred Drug List is published every January and July. For additional information click here.